Organization
MARY L. SHARP, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LOU SHARP MSW, LCSW (PRESIDENT)
(405) 286-1657
Entity
Organization
Contact information
Practice address
3000 UNITED FOUNDERS BLVD, SUITE 148, OKLAHOMA CITY, OK 73112-3958
(405) 286-1657
(405) 286-3944
Mailing address
3000 UNITED FOUNDERS BLVD, SUITE 148, OKLAHOMA CITY, OK 73112-3958
(405) 286-1657
(405) 286-3944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3681
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200280770B
—
OK
Enumeration date
03/24/2011
Last updated
03/24/2011
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